The Influence of Personal Listening Devices on Hearing in Egyptian University Students: A Cross-Sectional Study
DOI:
https://doi.org/10.55489/njcm.151020244539Keywords:
University students,, Auditory problems, Hearing loss, Personal listening devicesAbstract
Background: Improper use of personal listening devices (PLDs) is associated with an increased risk of hearing loss. The purpose is to investigate the use of PLDs among university students and their impact on hearing.
Methodology: A study involved 310 University students, surveyed on their PLDs habits. They shared their daily PLD use, volume level, and duration of use. Participants also discussed PLD-related hearing issues and other risk factors for hearing loss. Screening used the Five-minute hearing test (FMHT) and the “Hear WHO” app. Positive cases in both tests received diagnostic pure-tone audiometry (PTA).
Results: About 70% used in-earpiece PLDs for studying, 53% used them for over 5 years. Also 83% used PLDs for over 60 mins daily, and 72% used them above volume level 6. Most (74%) were low-risk users. 10.6% tested positive for hearing loss in both screenings, with 1.6% confirmed by PTA. A shift in the 4 kHz average hearing threshold was noted. Tinnitus was reported by 49%, and ear pain by 42% of students. Higher risk PLD use predicted tinnitus, ear pain and excessive ear wax in multivariable analysis.
Conclusions: Students' high-volume PLD use is linked to auditory problems like tinnitus and ear pain. Regular hearing screenings are recommended.
References
Agustiawan. Description of use of personal listening devices (PLD) during online learning during covid-19 pandemic. Health Safety Environment Journal 2021; 2(2):1-4.
Warwick. Noise exposure levels from personal stereo use Nivel de expositión a ruido por el uso de estéreos personales. Interna-tional Journal of Audiology 2005;44(4): 231-236. Doi: https://doi.org/10.1080/14992020500057673
Hearing Loss in teenagers: Preventing Noise Induced Hearing Loss. Available at: https://www.cdc.gov/nceh/hearing_loss/teens/index.html. Accessed on January 18, 2022.
Deafness and hearing loss: Noise induced hearing loss. Available at: http://www.who.int/mediacentre/news/releases/2015/ear-care/en/. Accessed on January 11, 2022.
Abd El-Mawgoud, Salwa Mourad.Personal audio devices and the risk of hearing loss in young adults: Array. Electronic Physician 2020 ;12(1): 7662-7667. Doi: https://doi.org/10.19082/7662
Ear and hearing care: Make listening safe. Available at: https://www.who.int/activities/making-listening-safe Accessed on March 18, 2022.
Kurabi A, Keithley EM, Housley GD, Ryan AF, Wong ACY. Cellular mechanisms of noise-induced hearing loss. Hear research 2017; 349:129-137. Doi: https://doi.org/10.1016/j.heares.2016.11.013
Gilliver M, Nguyen J, Beach EF, Barr C. Personal listening devices in Australia: patterns of use and levels of risk. Semin Hear 2017;38(4):282-297. Doi: https://doi.org/10.1055/s-0037-1606324
Portnuff, Cory DF, Brian J. Fligor, Kathryn H. Arehart. Teenage use of portable listening devices: a hazard to hearing? Journal of the American Academy of Audiology 2011; 22(10): 663-677. Doi: https://doi.org/10.3766/jaaa.22.10.5
National Research Council (US). Hearing Loss: Determining Eligibility for Social Security Benefits. Robert A. Dobie, Susan Van Hemel , editors. Impact of Hearing Loss on Daily Life and the Workplace .2nd ed . Washington (DC): National Academies Press (US); 2004. p 6 Doi: https://doi.org/10.17226/11099
Thomas C A, Ebenezer R, Joice Y S. Prevalence of sensorineural hearing loss among medical students who are chronic mobile phone and earphone users in Trivandrum, South Kerala, India. Indian Journal of forensic community medicine. 2019; 6(2):81-85. Doi: https://doi.org/10.18231/j.ijfcm.2019.019
Ventry I M, Weinstein B E. Identification of elderly people with hearing problems. American Speech-Language-Hearing Association journal 1983; 25:37-42. Doi: https://doi.org/10.1044/jshr.2504.593
Yimtae K, Kasemsiri P, Thanawirattananit P, Siripaopradith P. Validation of the thai five-minute hearing test to screen hearing loss in the community. Audiology and Neurotology 2014; 19(2): 127-134. Doi: https://doi.org/10.1159/000357492
Yimtae, K., P. Kasemsiri, P. Thanawirattananit and P. Siripaopradith . "Validation of the five-minute hearing test to screen hearing loss in the community." Audiology and Neurotology 2014; 19(2): 127-134. Doi: https://doi.org/10.1159/000357492
Deafness prevention. International ear care day. Available at: https://www.who.int/deafness/news/hearWHOApp-news/en/. Ac-cessed on January 11, 2022.
Guidelines for manual pure-tone threshold audiometry. Available at www.asha.org/policy. Accessed on January 18, 2022.
Kumar P, Upadhyay P, Kumar A, Kumar S, Singh GB. Extended high frequency audiometry in users of personal listening devices. Am J Otolaryngol. 2017;38(2):163-167. Doi: https://doi.org/10.1016/j.amjoto.2016.12.002
Katya Feder, James McNamee, Leonora Marro & Cory Portnuff (2021) Personal listening device usage among Canadians and audio-metric outcomes among 6-29-year-olds, International Journal of Audiology, 60:10, 773-788, Doi: https://doi.org/10.1080/14992027.2021.1878398
Portnuff, Cory DF, Brian J. Fligor, Kathryn H. Arehart. Teenage use of portable listening devices: a hazard to hearing? Journal of the American Academy of Audiology 2011; 22(10): 663-677. Doi: https://doi.org/10.3766/jaaa.22.10.5
Gilliver M, Nguyen J, Beach EF, Barr C. Personal listening devices in Australia: Patterns of use and levels of risk. In Seminars in hear-ing 2017; 38(4) :282-297. Doi: https://doi.org/10.1055/s-0037-1606324
S.E Widén , C. Möller, S. Båsjö, K. Kähäri.Headphone listening habits and hearing thresholds in Swedish adolescents. Noise Health. 2017;19 (88) :125-132. Doi: https://doi.org/10.4103/nah.NAH_65_16
Ansari H, Mohammadpoorasl A, Rostami F, Maleki A, Sahebihagh MH, Naieni KH. Pattern of Use of Earphone and Music Player Devic-es among Iranian Adolescents. International Journal of Preventive Medicine. 2014; 5(6):776-81.
Kashyap P., Bhatia A. Effect of Duration of Exposure to Personal Listening Devices on Hearing Thresholds in Young Adults. Indian J Otolaryngol Head Neck Surg 2018; 70:583-586. Doi: https://doi.org/10.1007/s12070-018-1355-y
Saurav, B., Suneela, G., Meghachandra, S., Charu, K.& Maulana, A.: Personal audio devices use patterns associated with risks of hearing loss and compromised road safety among medical students 2017 Delhi 12th ICBEN Congress on Noise as a Public Health Problem
Mulders, W. and D. Robertson. "Hyperactivity in the auditory midbrain after acoustic trauma: dependence on cochlear activity." Neuroscience .2009;164(2): 733-746. Doi: https://doi.org/10.1016/j.neuroscience.2009.08.036
Longenecker, R. J. and A. V. Galazyuk. "Development of tinnitus in CBA/CaJ mice following sound exposure." Journal of the Associa-tion for Research in Otolaryngology 2011;12(5): 647-658. Doi: https://doi.org/10.1007/s10162-011-0276-1
Haji, A. K., A. A. Qashar, S. H. Alqahtani, R. M. Masarit, T. S. AlSindi, E. M. Ali-Eldin, A. Haji, S. H. Alqahtani, R. Masarit and T. AlSindi. "Prevalence of Noise-Induced Tinnitus in Adults Aged 15 to 25 Years: A Cross-Sectional Study." Cureus 2022;14(11). Doi: https://doi.org/10.7759/cureus.32081
Sachdeva, S. and M. Kumar. "Study on health impacts of ear and headphones among students lives in Chandigarh." Int J Res Appl Sci Eng Technol 2018; 6(3). Doi: https://doi.org/10.22214/ijraset.2018.3738
Alarfaj, A. A., AlAhmmed, L. M., & Ali, S. I. Perception of earbuds side effects among teenager and adults in Eastern Province of Saudi Arabia: A cross-sectional study. Clinical Epidemiology and Global Health 2021;12, 100784. Doi: https://doi.org/10.1016/j.cegh.2021.100784
Guest JF, Greener MJ, Robinson AC, Smith AF. Impacted cerumen: composition, production, epidemiology and management. QJM. 2004;97(8):477-488. Doi: https://doi.org/10.1093/qjmed/hch082
Horton GA, Simpson MTW, Beyea MM, Beyea JA. Cerumen Management: An Updated Clinical Review and Evidence-Based Approach for Primary Care Physicians. J Prim Care Community Health. 2020 Jan-Dec;11:2150132720904181. Doi: https://doi.org/10.1177/2150132720904181
Sulaiman AH, Seluakumaran K, Husain R. Hearing risk associated with the usage of personal listening devices among urban high school students in Malaysia. Public Health. 2013;127(8):710-715. Doi: https://doi.org/10.1016/j.puhe.2013.01.007
Abdel-Hamid O, Khatib OM, Aly A, Morad M, Kamel S. Prevalence and patterns of hearing impairment in Egypt: a national household survey. East Mediterr Health J. 2007;13(5):1170-1180. Doi: https://doi.org/10.26719/2007.13.5.1170
Lawal, A. O., & Osisanya, A. Incidence and patterns of hearing loss associated with the consistent use of mobile telephone among ado-lescents in Ibadan, Nigeria. African Journal for the Psychological Study of Social Issues.2017; 20(1), 173-182.
Alshamrani, R., Altheeb, F., Almasaoud, H., Alghamdi, A., Latif, R., Rafique, N., & Sulaiman, A. A. The Effect of Various Patterns of Per-sonal Listening Devices on Hearing Among University Students in Saudi Arabia. Acta Informatica Medica 2022; 30(3), 225. Doi: https://doi.org/10.5455/aim.2022.30.225-229
Gilliver M, Williams W, Beach E F. Noise exposure in the balance: Managing occupational and leisure risks to hearing health. Journal of Health, Safety, and Environment. 2014;30(01):203-208.
Le Prell CG, Spankovich C, Lobarinas E, Griffiths SK. Extended high-frequency thresholds in college students: Effects of music player use and other recreational noise. J Am Acad Audiol. 2013; 24:725-739. Doi: https://doi.org/10.3766/jaaa.24.8.9
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nabila Mohammed Raouf, Waleed Salah, Ghada Moharram, Wafaa Mohammed , Hisham Mahaba
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.